| NPI | 1598997421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSAM AWWA Owner 860-449-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2015-06-04 |